Provider Demographics
NPI:1558087536
Name:JHAWAR DENTAL, INC
Entity Type:Organization
Organization Name:JHAWAR DENTAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARBIR
Authorized Official - Middle Name:S
Authorized Official - Last Name:JHAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:909-834-0834
Mailing Address - Street 1:26483 BASELINE ST STE A&B
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-2889
Mailing Address - Country:US
Mailing Address - Phone:909-834-0834
Mailing Address - Fax:
Practice Address - Street 1:26483 BASELINE ST STE A&B
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-2889
Practice Address - Country:US
Practice Address - Phone:909-834-0834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA65231OtherDENTIST